Legacy at Herington
Herington, Kansas · CCN 175490
25 surveys since 2010. The first finding at harm level was recorded in 2015.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 167
- Surveys
- 25
- Harm or worse
- 10
- Immediate jeopardy
- 7
Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 45
- Ownership
- For profit - Individual
- Chain
- CAMPBELL STREET SERVICES
- County
- Dickinson · rural
- Medicare-certified since
- 2006
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 3
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 108 for-profit facilities with fewer than 66 beds in Kansas.
Last survey on record
Oct 31, 2024
739 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.00 | 3.78 |
| Registered-nurse hours per resident day | 0.61 | — |
| Annual nurse turnover | 97.6% | 50.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J24.5% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2965.9% | E36.8% | F920.5% |
| No harm, potential for minimal | A— | B— | C12.3% |
Most frequently cited here
In CMS’s current monthly file.
- F5503×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F6002×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6232×
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- F6772×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F6952×
Provide safe and appropriate respiratory care for a resident when needed.
In the surveyor’s words
From the most serious findings on record at Legacy at Herington, in the surveyor’s own words.
- Immediate jeopardy, isolatedF600May 22, 2023
The facility identified a census of 32 residents. The sample include 17 residents with one resident reviewed for abuse and neglect. Based on observation, record review, and interviews, the facility failed to ensure Resident (R)7 remained free from neglect when facility staff failed to transfer R7 as required by R7's plan of care. On 04/21/23 R7, who required extensive assistance of two staff and a full body lift, slipped forward in her wheelchair. Certified Nurse Aide (CNA) N called out to non-CNA staff (Dietary Staff CC) to assist with repositioning R7 in the wheelchair. CNA N and Dietary Staff CC lifted R7 by her upper arms and pulled R7 back in the wheelchair without the use of the full body lift. […]
- Immediate jeopardy, isolatedF689May 22, 2023
The facility identified a census of 32 residents. The sample include 17 residents with five residents reviewed for accidents. Based on observation, record review, and interview the facility failed to ensure Resident (R) 7 remained free from preventable accidents when the facility staff failed to transfer R7 as required by R7's plan of care. On 04/21/23 R7, who required extensive assistance of two staff and a full body lift, slipped forward in her wheelchair. Certified Nurse Aide (CNA) N called out to non-CNA staff (Dietary Staff CC) to assist with repositioning R7 in the wheelchair. CNA N and Dietary Staff CC lifted R7 by her upper arms and pulled R7 back in the wheelchair without the use of the full body lift. […]
- Immediate jeopardy, isolatedF600Feb 24, 2021
The facility had a census of 19 residents. The sample included 3 residents reviewed for neglect. Based on record review and interview, the facility failed to provide appropriate care as ordered by the physician for Resident (R)1, when his surgically closed pressure ulcer re-opened and required hospitalization and additional surgery. This deficient practice placed R1 in immediate jeopardy. Findings included: - R1's Admission Minimum Data Set, (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status, (BIMS) of 12, indicating he was moderately cognitively impaired. […]
- No harm, potential for more than minimal, widespreadF801Oct 31, 2024
The facility had a census of 31 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to provide the services of a full-time certified dietary manager for the 31 residents who resided in the facility and received their meals from the kitchen. This placed the residents at risk for inadequate nutrition. Findings included: - On 10/29/24 at 08:30 AM, observation revealed dietary staff in the kitchen prepared the breakfast meal. On 10/29/24 at 09:40 AM, Dietary Staff BB verified she was not a certified dietary manager. Dietary Staff BB stated the facility had six residents with mechanical soft diets and three with a pureed diet. […]
- No harm, potential for more than minimal, widespreadF812Oct 31, 2024
The facility had a census of 31 residents. The facility had one kitchen. Based on observation, interview, and record review the facility failed to prepare, store, distribute, and serve food under sanitary conditions for the residents in the facility, who receive their meals from the kitchen. This deficient practice placed the residents of the facility at risk for food-borne illness. Findings included: - On 10/29/24 at 8:45 AM, during the initial tour, observation revealed a one three foot by six-inch air vent grill located above the North door entrance to the kitchen was covered with a brownish grease/sticky substance and a gray fuzzy substance blowing directly on the food preparation area. […]
Read 29 findings in full →The most serious and the most recent: 29 of 167 on record.
Every survey on record
FindingsAt actual harm or above
- Oct 31, 2024Standard14 findings
- Apr 3, 2024Complaint3 findings
- Sep 20, 2023Complaint2 findings
- May 22, 2023Standard and complaint22 findings · 2 harm
- Mar 1, 2023Complaint1 finding
- Jan 19, 2022Complaint1 finding
- Sep 27, 2021Standard3 findings
- Feb 24, 2021Complaint2 findings · 1 harm
Show the 17 earlier surveys
- Aug 7, 2019Standard and complaint2 findings
- Jan 30, 2019Complaint3 findings · 1 harm
- Oct 29, 2018Standard and complaint19 findings · 1 harm
- May 23, 2018Complaint6 findings · 1 harm
- Mar 28, 2017Standard10 findings
- Jan 25, 2017Complaint1 finding · 1 harm
- Nov 2, 2016Complaint11 findings · 1 harm
- Dec 29, 2015Complaint1 finding · 1 harm
- Oct 29, 2015Complaint1 finding · 1 harm
- Jun 12, 2015Standard11 findings
- Dec 1, 2014Complaint4 findings
- May 20, 2014Complaint1 finding
- Feb 20, 2014—9 findings
- Dec 4, 2012—7 findings
- Jul 23, 2012—2 findings
- Sep 12, 2011—12 findings
- Jul 22, 2010—19 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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